MEDICARE: VOYTIK CENTER FOR ORTHOPEDIC CARE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PAC0000001237	TN
2	207X00000X	Orthopaedic Surgery Physician	DO1133	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00669511	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215116231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOYTIK CENTER FOR ORTHOPEDIC CARE, PC

Provider Business Mailing Address
First Line	:	3913 GEORGETOWN RD NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-1806
Country	:	US
Telephone Number	:	423-479-3600
Fax Number	:	423-303-1234

Provider Business Practice Location Address
First Line	:	3913 GEORGETOWN RD NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-1806
Country	:	US
Telephone Number	:	423-479-3600
Fax Number	:	423-303-1234

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	SUMMER GROOMES
Credential	:
Telephone Number	:	423-303-3561

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	09/15/2023

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